Tools4ever, one of the world’s largest providers of identity governance and administration solutions and services, is proud to announce that it has been certified for the ISO 27001 standard. This certification is issued by Brand Compliance, a leader in the field of audits and certifications. The ISO 27001 standard certification guarantees to Tools4ever’s customers and partners that the information security within its products are at the highest possible standards.
ISO 27001 is the worldwide standard signifying the highest degree of information security products available. The standard specifies requirements for establishing, implementing, executing, checking, assessing, maintaining, and improving a documented Information Security Management System (ISMS).
ISO 27001 certification requires extensive auditing to prove that a management system allows an organization to:
Systematically examine information security risks while taking account of threats, vulnerabilities, and impacts of potential threats;
Design and implement a coherent and comprehensive suite of information security controls and/or other forms of risk treatment (e.g. risk avoidance, risk transfer) to address risks deemed unacceptable;
Adopt an overarching management process to ensure that the information security controls continue to meet information security needs on an ongoing basis.
As ISO 27001 covers more than just IT processes, the ISMS under consideration must meet the above criteria when it comes to specified business units or the organization as a whole. Tools4ever’s certification demonstrates further that its solutions and consultancy expertise extend beyond isolated point solutions to cover identity management across entire operations.
Farid Ouachour, security and consultancy manager at Tools4ever, said: “As a software company, we have always been actively involved in information security and have continuously improved our products in this area. Through certification, we have demonstrably put our information security processes in order; both our technical solutions and overall governance have been tested and confirmed by Brand Compliance. Our customers and partners can trust that they work with a professional organization that takes information security seriously.”
There isn’t a single area of modern life that hasn’t been transformed by technology in the previous decades, and healthcare is no different. Doctors and nurses have always relied on a variety of technology to fulfill their roles, and this isn’t going to change anytime soon. Below are four types of technology that we expect to play a significant role in the evolution of nursing over the next few years.
Automated IV Pumps
IV pumps automatically deliver both nutrients and medicine directly into the patient’s veins. They are one of the most common and most important pieces of hospital equipment. Without IV pumps, a nurse’s work would truly never be done. The next generation of automated IV pumps will be much more capable than those that have come before and offer a number of advantages for nurses.
Automatically change feeds: Nurses do a lot of important work, but the majority of their day is spent completing relatively mundane tasks. Changing patients’ IV lines over is one such task. With an automated IV pump that can automatically switch the lines over for a nurse, there is one less thing for them to juggle. Nurses are only human, and they will occasionally make mistakes and forget things. An automated IV pump means that even if they forget to change a patient line, the patient will not suffer.
Save time: IV drips need to be changed according to the patient’s needs, and doing so usually ties up a nurse for at least a couple of minutes. If a nurse has a number of patients to see, this time quickly adds up. Having the feeds change automatically saves nurses time and enables them to focus on other essential tasks.
Standardized procedures: Different hospitals have different procedures and policies in place for ensuring that patients’ IV lines are changed when they need to be. While there are several different automated IV pumps on the market, each of which works a little differently, the introduction of automated systems enables hospitals to standardize their procedures more closely.
Digital Study Aids
Education can quickly get expensive, regardless of the degree that you are studying. But nursing can be particularly expensive, especially at the higher levels, owing to the expensive reading materials and textbooks that are required. Fortunately, there are now ways of bringing those costs down, especially if you are willing to embrace digital learning tools.
Ebooks: Textbooks aren’t cheap. In fact, they are the bane of many students’ existence. Even if you purchase textbooks second-hand, they can still set you back a surprising amount of money. However, if you are willing to embrace ebooks and digitized textbooks, you can obtain even the more expensive text at an affordable price.
Revision apps: Whether you are looking to learn something new entirely, or you want to brush up on your existing knowledge, there is now a plethora of apps that enable you to do just that. Nursing is no exception to this; if you look in any of the major app stores, you will find numerous education and reference apps designed for nurses. These include digitized databases of common drugs and their recommended dosages and interactive guides to human anatomy. Even the premium reference apps tend to be significantly cheaper than a textbook or physical reference guide would be.
Online degrees: One of the big advantages of pursuing a career in nursing is that you can advance through the ranks at your own pace. Studying isn’t cheap, but the advent of online degrees has made university courses both more accessible and more affordable. You can now study all levels of your nursing degree online. For example, if you have already earned your BSN, you might want to consider enrolling in one of the many online BSN to MSN programs that are now available. Studying online is cheaper than a campus course, and you can complete your studies over a longer period.
Health-tracking wearables — which include monitoring devices like Fitbits and smartwatches — have entered the mainstream. They are providing both consumers and health care professionals alike with unprecedented amounts of data, ranging from info on heart and cardiovascular issues to sleep quality.
These wearables can also offer unique new datasets that could help us learn more about some of the most difficult-to-treat disorders — like Parkinson’s disease.
A new study has highlighted wearables as a potential method of data-collection in the treatment of the disease and could help with Parkinson’s research. Here is how wearable tech could help us learn more about this disorder.
Wearables Help Patients with Parkinson’s Record Data
The study, published in January in Digital Medicine, highlighted how mobile data-collection devices — like wearables — could improve upon the self-report diaries currently used in the treatment of Parkinson’s. They can provide doctors with better data about patient symptoms.
Right now, in the standard course of treatment for Parkinson’s disease, patients are advised to keep motor diaries, fill out questionnaires or participate in structured clinical exams to keep track of the progression of their symptoms. While these strategies can be effective, they also introduce significant room for error.
The study demonstrated that it can be difficult for patients to commit to keeping a motor diary, which requires an entry every 30 minutes that they are awake.
During the course of the study, 38% of patients who maintained a motor diary missed a quarter of entries and had an average delay of greater than four hours. This could potentially degrade the quality of information available, as they recalled the severity of their symptoms hours later.
Self-reports also contained high numbers of false negatives in involuntary muscle movement. Patients also consistently underestimated the severity of their symptoms.
By comparison, automated wearable sensors provided much more accurate data and were able to record information on symptoms more consistently than any other method of symptom-tracking. Consistent data is especially vital in the treatment of Parkinson’s, where symptom severity can vary significantly from hour to hour.
If you are in need of a medical procedure or treatment, you have very likely been given a rundown of risks and side effects that can come up during a procedure as well as the recovery when it is done. Many people opt out of certain nonessential surgeries out of fear or concern for the potential negative outcomes. Thankfully, the use of lasers in medical treatments is drastically changing so much about the way certain procedures affect patients both during and after they are performed.
Shorter Recovery Times
When someone is considering a medical procedure, one of the first things that is discussed involves the amount of time it will take for the patient to recover. This can vary so much depending on the type of procedure that is being carried out, but a general rule of thumb is that the more invasive a surgery is then the more recovery time will be required.
When a patient opts to undergo a laser treatment as opposed to a more traditional surgery, they can see a significant reduction in the recovery time. For instance, if a female patient is in need of labiaplasty, she might be looking at a recovery time of up to six weeks. If this amount of time isn’t feasible for her situation, the patient can see if she would be a good candidate for a laser labiaplasty. By opting for this type of procedure from a skilled physician like DavidGhozland, M.D. she can see her recovery time reduced to just a few days.
Less Pain
Many patients experience an intense fear of having surgery. This can cause them such anxiety that they can end up suffering from panic attacks. One of the underlying causes of preoperative anxiety is the fear and anticipation of the pain they will have to endure as a result of their surgery. Laser procedures, however, are generally far less painful than more traditional surgical practices.
Lasers allow physicians to be more precise when they make cuts and incisions. As a result, the area that is involved with the procedure is significantly reduced. Not only is the potential for pain decreased, but also the chances for swelling and scarring on the tissue surrounding the treatment site.
Fewer Risks
Some of the main risks associated with traditional surgical methods include infection, bleeding, or the development of injury. Because a doctor is able to focus in on the affected area and better avoid the healthy tissues that surround the treatment site, the size of the incision will be much smaller on average. This is likely to mean a reduction in the amount of suturing needed to seal up the incision.
A smaller cut means that there is a far less chance that the site will become infected or that there will be any harmful post-op bleeding. Furthermore, certain procedures, when done with a laser, can result in virtually no scarring once everything has healed.
The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for healthcare providers and patients about the telehealth benefits in the agency’s Medicare program. The fact sheet is part of a broader effort by CMS and the White House Task Force to ensure that all Americans – particularly those at high-risk of complications from the COVID-19 virus – are aware of easy-to-use, accessible benefits that can help keep them healthy while helping to contain the community spread of this disease.
“As we continue to learn about the COVID-19 virus, it’s important for all Americans, and particularly vulnerable populations who are at heightened risk, to be able to access their providers when they feel sick or have questions” said CMS Administrator Seema Verma. “Over the last three years, President Trump’s leadership and historic efforts have made it possible for doctors to bill for their time on the phone or video chat with patients to help triage medical issues. Today, a patient who is not feeling well can call their doctor to decide whether or not they need to go in for a visit, offering solutions and peace of mind immediately.”
CMS’ historic effort made virtual check-ins and other services that use telecommunications possible with new policies implemented in 2019 and 2020. These services are available right now to patients and their physicians, providing a great deal of flexibility and an easy way for patients who are concerned about illness to remain in their home avoiding exposure to others.
With the COVID-19 virus, there is an urgency to expand the use of virtual care to keep the beneficiaries with mild symptoms in their homes while increasing access to their provider’s office.
For the beneficiary, these benefits can be very helpful. For example, a Medicare beneficiary who is looking for advice about symptoms they are experiencing, can call their doctor and receive medical advice about whether he or she needs to see their doctor in person for a physical exam.
If they start to feel more ill, a virtual check-in allows a healthcare provider to offer recommendations about next steps and even take precautions for someone they are concerned may have the COVID-19 virus or flu before they step in the office or hospital putting others at risk. These check-ins are billable services and the Medicare coinsurance and deductible would apply to these services.
Medicare Advantage plans may also provide enrollees access to Medicare Part B services via telehealth in any geographic area and from a variety of places, including beneficiaries’ homes, as part of their benefit packages for a plan year.
Therefore, enrollees in Medicare Advantage plans that include coverage of such services may be available to receive clinically appropriate services for treatment of COVID-19 via telehealth from many sites, including their home.
The U.S. Department of Health and Human Services (HHS) today finalized two transformative rules that will give patients unprecedented safe, secure access to their health data. Interoperability has been pursued by multiple administrations and numerous laws, and today, these rules finally deliver on giving patients true access to their healthcare data to make informed healthcare decisions anPutting patients in charge of their health records is a key piece of giving patients more control in healthcare, and patient control is at the center of the Trump administration’s work toward a value-based healthcare system.d better manage their care.
The two rules, issued by the HHS Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), implement interoperability and patient access provisions of the bipartisan 21st Century Cures Act (Cures Act) and support President Trump’s MyHealthEData initiative. MyHealthEData is designed to empower patients around a common aim — giving every American access to their medical information so they can make better healthcare decisions.
Together, these final rules mark the most extensive healthcare data sharing policies the federal government has implemented, requiring both public and private entities to share health information between patients and other parties while keeping that information private and secure, a top priority for the Administration.
“President Trump is delivering on his vision for healthcare that is affordable, personalized, and puts patients in control. From the start of our efforts to put patients and value at the center of our healthcare system, we’ve been clear: Patients should have control of their records, period. Now that’s becoming a reality,” said HHS Secretary Alex M. Azar. “These rules are the start of a new chapter in how patients experience American healthcare, opening up countless new opportunities for them to improve their own health, find the providers that meet their needs, and drive quality through greater coordination.”
“Delivering interoperability actually gives patients the ability to manage their healthcare the same way they manage their finances, travel and every other component of their lives. This requires using modern computing standards and APIs that give patients access to their health information and give them the ability to use the tools they want to shop for and coordinate their own care on their smartphones,” said Don Rucker, M.D., national coordinator for health information technology. “A core part of the rule is patients’ control of their electronic health information which will drive a growing patient-facing healthcare IT economy, and allow apps to provide patient-specific price and product transparency.”
“The days of patients being kept in the dark are over,” said CMS Administrator Seema Verma. “In today’s digital age, our health system’s data sharing capacity shouldn’t be mired in the stone age. Unfortunately, data silos continue to fragment care, burden patients, and providers, and drive up costs through repeat tests. Thanks to the leadership of President Trump, these rules begin a new chapter by requiring insurance plans to share health data with their patients in a format suitable for their phones or other device of their choice. We are holding payers to a higher standard while protecting patient privacy through secure access to their health information. Patients can expect improved quality and better outcomes at a lower cost.”
These final rules deliver on the Administration’s promise to put patients at the center of their care by promoting patient access and use of their own health information and spurring the use of and development of new smartphone applications.
Addressing Interoperability and Information Blocking
The ONC Final Rule identifies and finalizes the reasonable and necessary activities that do not constitute information blocking while establishing new rules to prevent “information blocking” practices (e.g., anti-competitive behaviors) by healthcare providers, developers of certified health IT, health information exchanges, and health information networks as required by the Cures Act.
Currently, many EHR contracts contain provisions that either prevent or are perceived to prevent users from sharing information related to the EHRs in use, such as screen shots or video. The ONC final rule updates certification requirements for health IT developers and establishes new provisions to ensure that providers using certified health IT have the ability to communicate about health IT usability, user experience, interoperability, and security including (with limitations) screenshots and video, which are critical forms of visual communication for such issues.
The ONC final rule also requires electronic health records to provide the clinical data necessary, including core data classes and elements, to promote new business models of care. This rule advances common data through the U.S. Core Data for Interoperability (USCDI).
The USCDI is a standardized set of health data classes and data elements that are essential for nationwide, interoperable health information exchange. The USCDI includes “clinical notes,” allergies, and medications among other important clinical data, to help improve the flow of electronic health information and ensure that the information can be effectively understood when it is received. It also includes essential demographic data to support patient matching across care settings.
Unleashing Innovation & Patient Access
ONC’s final rule establishes secure, standards-based application programming interface (API) requirements to support a patient’s access and control of their electronic health information. APIs are the foundation of smartphone applications (apps). As a result of this rule, patients will be able to securely and easily obtain and use their electronic health information from their provider’s medical record for free, using the smartphone app of their choice.
Building on the foundation established by ONC’s final rule, the CMS Interoperability and Patient Access final rule requires health plans in Medicare Advantage, Medicaid, CHIP, and through the federal Exchanges to share claims data electronically with patients.
CMS took the first step towards interoperability by launching Medicare Blue Button 2.0 for Medicare beneficiaries in 2018. Medicare Blue Button 2.0 gives beneficiaries the ability to securely connect their Medicare Part A, Part B and Part D claims and encounter data to apps and other tools developed by innovators. Engagement and partnership with the technology community has involved more than 2,770 developers from over 1,100 organizations working in the Medicare Blue Button 2.0 sandbox to develop innovative apps to benefit Medicare patients.
Currently, 55 organizations have applications in production. Beginning January 1, 2021, Medicare Advantage, Medicaid, CHIP, and, for plan years beginning on or after January 1, 2021, plans on the federal Exchanges will be required to share claims and other health information with patients in a safe, secure, understandable, user-friendly electronic format through the Patient Access API. With more complete data in their hands, patients can be more informed decision makers leading to better informed treatment.
This Patient Access API will allow patients to access their data through any third party application they choose to connect to the API and could also be used to integrate a health plan’s information to a patient’s electronic health record (EHR). By requiring their relevant health information including their claims to be shared with them, patients can take this information with them as they move from plan to plan, and provider to provider throughout the healthcare system.
To further advance the mission of fostering innovation, the CMS final rule establishes a new Condition of Participation (CoP) for all Medicare and Medicaid participating hospitals, requiring them to send electronic notifications to another healthcare facility or community provider or practitioner when a patient is admitted, discharged, or transferred. These notifications can facilitate better care coordination and improve patient outcomes by allowing a receiving provider, facility, or practitioner to reach out to the patient and deliver appropriate follow-up care in a timely manner.
Additionally, CMS is requiring states to send enrollee data daily beginning April 1, 2022 for beneficiaries enrolled in both Medicare and Medicaid, improving the coordination of care for this population. This ensures beneficiaries are getting access to appropriate services and that these services are billed appropriately the first time, eliminating waste and burden. Beneficiaries will get the right services at the right time at the right cost, with no administrative burden to rebill services.
Very few businesses today use fax machines, yet more than 9 billion faxes are still sent every year in healthcare, according to DirectTrust. Eighty percent of all serious medical mistakes result from poor communication, which includes fax. Simply put, every industry decreased or eliminated its reliance on the fax machine over the past decade – except healthcare. Beyond fax, healthcare’s dependence on manual communications is costly, inefficient and brings serious security risks.
According to Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma, there is no place left for the antiquated fax machine. In 2018, she issued a bold vision to transform patient care by improving communication and data exchange. She challenged the industry to make doctors’ offices “a fax-free zone” by 2020.
Why not push healthcare to go beyond that? Let’s look at all the ways inefficiencies and “doing things the way they’ve always been done” are holding healthcare back with manual processes, repetitive tasks and increasing frustration.
To replace fax, we must look at why it’s still being used. Fax is easy. Fax numbers are already programmed and shared. Faxes (usually) go directly to the recipient. But, the costs associated with faxing keep growing. The process isn’t efficient and it’s not at all secure in today’s HIPAA-compliant environment.
Yet, reports say nearly 90% of hospitals still rely on fax. Change is a challenge. Fax machines must become a thing of the past in order to bring healthcare fully into the 21st century. As those machines are eliminated, healthcare providers still need a way to exchange information and transfer documents. The need to exchange documents isn’t going to change but the way that is done – to ensure efficiency and security – has to change.
Are providers of all sizes ready for the end of an era? Understanding the true value and efficiency of eliminating fax is critical, but it has to be replaced with a solution that actually makes it easier.
Benefits Beyond Cost Savings
While physicians and staff are familiar and comfortable with using traditional faxing, this old school approach is an inefficient and costly part of both independent practices and health systems alike. Redundant work processes, like inputting information from faxes into electronic health record (EHR) systems, severely hampers productivity and profitability.
On average, providers spend upwards of 55 hours per month manually faxing based on a customer engagement survey by Updox. And for every 5,000 fax pages sent or received, a practice spends about $155 in supplies, including paper, toner, phone lines and shredding costs.
Plus, there are patient privacy and security concerns when using faxes. In recent years, researchers have discovered security flaws that can leave entire networks vulnerable from malicious faxes. Manual errors, too, result in protected patient information getting sent to the wrong number, which could lead to HIPAA violations and fines costing hundreds of thousands of dollars.
By Rob Wiley, head of marketing and product strategy, Formstack.
Rob Wiley
If you’re in healthcare, it’s likely because you have a passion for helping others and solving problems. Those on the IT side of the industry are no exception. Healthcare IT has seen a significant shift from navigating health records in a paper-based system to the digitization of health data—and for good reason.
There are many benefits to digital transformation in the health industry. For one, administrative costs alone in healthcare account for nearly $266 billion per year. By transferring records like medical forms and insurance verification paperwork to a secure electronic platform, healthcare providers can save on administrative spending and put those funds into more impactful areas. Additionally, the digitization of health data streamlines communication between all levels of the healthcare process: from physicians to patients and insurance companies.
But the digitization of health data also comes with challenges that healthcare IT professionals must solve—most notably around the implications of Health Insurance Portability and Accountability Act (HIPAA) compliance, patient engagement and employee empowerment.
HIPAA Compliance
Rules and regulations in healthcare are ever-changing, and health providers and practices are expected to stay up-to-date and comply. Ensuring your company maintains compliance and data stays secure begins with your healthcare IT team. Not only does compliance protect your company from stiff penalties and violations, it also safeguards the protected health information (PHI) of customers and partners.
Consider this: A patient is asked to share interest in an elective surgery and decides to opt out. If this document confirming their disinterest in the surgery is stored insecurely using a paper file, this puts the patient’s trust at risk of being breached, and in turn, the decision to opt out of the procedure at risk of being dishonored. Meanwhile, storing this information in a secure, electronic file would reduce the risk associated with data breaches and the file being lost or misread. With a strong IT team following HIPAA guidelines, your practice can stay safe from violations and accidental exposure of sensitive records in the digital world of healthcare.
Patient Engagement
The digital transformation of healthcare doesn’t just impact the backend of business; it also affects patient experience and how practices are represented to future customers and partners. Healthcare IT professionals have to consider how digitization impacts the user experience and the ease of electronic communication between patient and practitioner. Here are seven important questions healthcare IT teams should ask themselves when evaluating their current digital network and any future improvements:
What systems are patients interacting with when preparing for or during the visit?
How easy is it for patients to provide information to their health provider?
How long does it take for the patient to fill out the intake documentation?
Are patients required to enter duplicate information anywhere?
Is the process convenient for the patient? Are they able to complete the information when and where they would like?
Is there an option to sign electronically and securely?
Does the patient receive copies of their documents for their own record keeping?
Healthcare IT professionals should consider the answers to these questions to determine the top changes they need to make to their digital system in order to improve patient experience and, ultimately, increase the number of patients they serve.
Health-tracking wearables — which include monitoring devices like Fitbits and smartwatches — have entered the mainstream. They are providing both consumers and health care professionals alike with unprecedented amounts of data, ranging from info on heart and cardiovascular issues to sleep quality.
